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SPAA 418 - Final Exam
Terms in this set (98)
space or opening
What are the most common locations for a cleft?
Where else can a cleft occur besides the lip and palate?
first 5-6 weeks
Embryonic development and closure of lip occurs in the...
first 8-9 weeks
The development of palate occurs in the...
mid portion of hard palate
What part of the palate develops first?
front portion of velum
What part of the palate develops second?
back portion of velum
What part of the palate develops third?
What part of the palate develops last?
3-4 week difference between lip and palate development demonstrates that the two are...
cleft extending from tip of uvula through alveolar ridge on one side of both the lips and palate
cleft covering same area as complete unilateral cleft, only it is on both sides
cleft on one side of just the lip or palate
cleft on both sides of lip or palate
a slight cleft of the uvula - forked
submucosa cleft palate
the soft palate is cleft but the membrane that covers the palate is intact
1/750 live births
What is the prevalence of clefts?
Is cleft palate without clef lip more often in males or females?
Is cleft lip without cleft palate more often in males or females?
Native American population
Highest incidence of clefts is in the ...
African American population
Lowest incidences of clefts is in the...
could include deletion of all or part of chromosome, rearrangement of pieces of chromosome, or duplication of part or all of chromosome
many genetic syndromes are associate with clefts
external agent that passes from a pregnant mother to the developing embryo or fetus through the placenta and has the potential to interfere with normal prenatal development
over the counter meds
What are some teratogenic agents?
uterine abnormalities in mothers
What are some mechanical influences of cleft lip and palate?
When is the lip normally repaired?
When is the palate normally repaired?
If needed, when is pharyngeal flap surgery?
_______ first, then ________ _______ later
When is an aveolar bone graft done?
Members of the clef lip and palate team:
What dictates treatment plan of cleft lip and palate?
How many different known genetic disorders?
recurrent patterns of anomalies with a single etiology
two or more anomalies occur together, but with primary etiology caused by first anomaly
cleft lip with cleft palate
wide cleft in lip contributed to cleft in palate
Pierre Robin Sequence
U shape cleft plate
condition involving abnormal growth of skull, face, fingers and toes
altered shape of head and face
prominent bulging of eyes
fusion/webbing of fingers or toes
What are some symptoms of apert syndrome?
premature closing of one or more gaps between the skull bones
condition in whichl ower half of one side of the face does not grow normally
partially formed/total absent ear
one corner of mouth higher
What are some symptoms of Hemifacial Microsmia?
condition in which the cheek bones and jawbone are underdeveloped
underdeveloped facial bones
small jaw and chin
absent, small, underdeveloped ears
usually normal intelligence
What are some symptoms of Treacher Collins?
What percent of school age children have structurally related and neurogenic voice disorders?
What percent of adult females have structurally related and neurogenic voice disorders?
What percent of adult males have structurally related neurogenic voice disorders?
What is the most common cause of structurally related and neurogenic voice disorders?
What are some other causes of structurally related or neurogenic voice disorders?
structurally related voice disorders
disorders that affect the structures of the larynx and vocal folds
throat, neck, and laryngeal cancer
What are some causes of structurally related voice disorders?
larynx above glottis lacks normal stiffness, due to lack of calcium
thin sheet of connective tissue that attaches two vocal folds
wart-like growth of VF
benign growths, usually bilater or unilater with contact ulcer
more pliable and softer than nodules
often found only on one fold
mucosal covering of tips of vocal processes become eroded
voice prosthesis training
may include electrolarynx, prosthetic device, esophageal speech
neurogenic voice disorders
specifically those disrodres that result from damage to the parts of central and peripheral nervous system that deal with voice production
vocal fold paralysis or weakness
What are some causes of neurogenic voice disorders?
heard in laryngitis
lack of regularity in VF vibration
VF are irritated therefore the vibration is not clean and neat
VF are not closing properly and air is escaping
VF are irritated or weak
voice sounds strained and tense
excessive tightness of the VF as they vibrate
voice appears to quaver, nerve impulses are transmitted too quickly or the person is nervous
too much air resonated in the nasal cavity on non-nasal sounds
too little air resonated int he nasal cavity on nasal sounds
abnormal involuntary whisper or complete loss of voice
sudden break in pitch
too fast or too slow
laryngeal reinnervation techniques
What are some treatments for voice?
decrease vocal abuse
increase hydration, vocal rest
hard versus easy onset
What are some behavior modification techniques for the SLP to implement?
Voice is a carrier of...
Voice is linked to our...
Voice is strongly related to...
choosing and implementing behavioral techniques to improve vocal function
Medical specialists will perform medical and surgical treatments while SLP has primary responsibility for...
nature of voice problem
Type of treatment depends upon...
description of voice problem
what onset was associated with
duration and consistency
patterns in symptoms
daily voice use
voice changes across different environments
What to look for in a case history of a voice client...
55 years of age
Most individuals diagnosed with dysphagia are over...
What is the prevalence of dysphagia in those over 55 years of age?
progressive neurological diseases
What are some causes of dysphagia?
oral prepatory stage
oral transport stage
What are the four stages of swallowing?
oral prepatory stage
lips, tongue, and soft palate hold and prepare food
oral transport stage
bolus (food) is transported from the oral cavity into the pharynx
movement of the bolus of food through the pharynx into the esophagus
transportation of the bolus to the stomach by the esophagus
difficulty initiating swallow
no control of food in oral cavity
What are some common signs of dysphagia?
wet vocal quality
absent gag reflex
poor breakfast eater
What are some more subtle signs of dysphagia?
What are possible medical effects from dysphagia?
Multidisciplinary team for dysphagia?
videofluroscopic swallow study
fiberoptic endoscopic evaluation of swallowing
What are some assessments for dysphagia?
First responsibility is to ensure patient is receiving...
change posture of head or neck
change temperature or taste
Frazier water protocol
Treatment of dysphagia may include...
What are the different diet consistencies?
This set is often in folders with...
SPAA 418 - Test 1
SPAA 418 test #2
SPAA 418 - Test 3
SPAA 161 Test #2
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